Provider Demographics
NPI:1063598779
Name:MUEHLEBACH ORTHODONTICS PC
Entity type:Organization
Organization Name:MUEHLEBACH ORTHODONTICS PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ORTHODONTIST
Authorized Official - Prefix:DR
Authorized Official - First Name:KURT
Authorized Official - Middle Name:LAWRENCE
Authorized Official - Last Name:MUEHLEBACH
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:816-942-7730
Mailing Address - Street 1:400 E RED BRIDGE RD
Mailing Address - Street 2:SUITE 112
Mailing Address - City:KANSAS CITY
Mailing Address - State:MO
Mailing Address - Zip Code:64131-4035
Mailing Address - Country:US
Mailing Address - Phone:816-942-7730
Mailing Address - Fax:816-942-7738
Practice Address - Street 1:400 E RED BRIDGE RD
Practice Address - Street 2:SUITE 112
Practice Address - City:KANSAS CITY
Practice Address - State:MO
Practice Address - Zip Code:64131-4035
Practice Address - Country:US
Practice Address - Phone:816-942-7730
Practice Address - Fax:816-942-7738
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-10-27
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MO152101223X0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223X0400XDental ProvidersDentistOrthodontics and Dentofacial OrthopedicsGroup - Single Specialty